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一种新型移动应用程序干预措施,以减少婴幼儿患者的牙科焦虑。

A Novel Mobile App Intervention to Reduce Dental Anxiety in Infant Patients.

机构信息

Faculty of Dentistry, Christus University Center (Unichristus), Fortaleza, Brazil.

Virtual University Institute, Federal University of Ceará (UFC), Fortaleza, Brazil.

出版信息

Telemed J E Health. 2021 Jun;27(6):694-700. doi: 10.1089/tmj.2020.0138. Epub 2020 Sep 14.

Abstract

Anxiety and fear are feelings routinely associated with the dental experience, especially in childhood and adolescence. These have been prominent in the world for many years and are currently considered a public health issue. Since the young population is an assiduous user of virtual inputs, it was sought to develop a mobile application (app) with the function of reducing the levels of dental anxiety in children before dental treatment and evaluate its effectiveness. An app, entitled "Hello, Dentist!", containing dental anticipation videos, was developed by a multidisciplinary team and evaluated. This app was tested in two children groups (dental and school settings), aged 6-10 years. Children and caregivers answered sociodemographic questions. In addition, to measure children's dental anxiety, they completed the Children's Fear Survey Schedule before and after app utilization. Control groups were utilized. A total of 100 children were included in this study. Anxiety levels were statistically lower in the groups using the app when compared with their control groups (p < 0.05). The effectiveness in reducing anxiety was greater when the initial anxiety values were higher, as seen in the dental environment group (p = 0.029). Dental procedures previously experienced, as well as the environment (dental or school) in which children were inserted, were factors that influenced their initial anxiety levels. The creation and utilization of an app to reduce dental anxiety are feasible and effective. The app developed decreased children's anxiety, especially in the dental setting, by anticipating dental situation.

摘要

焦虑和恐惧是与牙科体验相关的常见情绪,尤其是在儿童和青少年时期。这些情绪在世界上已经存在多年,目前被认为是一个公共卫生问题。由于年轻人群是虚拟输入的忠实用户,因此我们试图开发一款具有减轻儿童在牙科治疗前的牙科焦虑水平的功能的移动应用程序(app),并评估其有效性。

一个名为“你好,牙医!”的应用程序由一个多学科团队开发并进行了评估,该应用程序包含牙科预期视频。该应用程序在两个儿童群体(牙科和学校环境)中进行了测试,年龄为 6-10 岁。儿童和照顾者回答了社会人口学问题。此外,为了测量儿童的牙科焦虑程度,他们在使用应用程序前后完成了儿童恐惧调查量表。使用了对照组。共有 100 名儿童参与了这项研究。

与对照组相比,使用应用程序的儿童焦虑水平明显降低(p < 0.05)。在牙科环境组中,当初始焦虑值较高时,减轻焦虑的效果更大(p = 0.029)。儿童的初始焦虑水平受到先前经历过的牙科程序以及儿童所处的环境(牙科或学校)的影响。

开发和使用应用程序来减轻牙科焦虑是可行且有效的。该应用程序通过预期牙科情况降低了儿童的焦虑水平,特别是在牙科环境中。

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